1310 S. Magnolia Ave.
,
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TYPE OF PERMIT
Tenanllmprovemenl (Limiled)
DATE: 4/5/2005
JOB ADDRESS: 1310 S MAGNOLIA AVE
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CITY <<tii~'~fiEIM
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;~':61&~~~:571
BUILDING DIVISION
200 S, ANAHEIM BLVD,
(714) 765,5153
INSPECTION REQUEST LINE:
(714) 765,4626
CENSUS CODE: ' 437
QUARTER SECTION: 29
BUILDING PERMIT NO, BLD2005-00924
LEGAL DESCRIPTION: PA STANTON TR LOT 17 POR OF U:lT
APPLlCANT:BOB GALA
OWNER INFORMATION:
Bipin 0 Gala
24525 Pasee De' Tor.onto
Yorba Linda, CA 92887
JOB DESCRIPTION:Remodel existing coin op laundry, Replace two existing ,/ulls and doors.
'3
VALUATION: .4,500,00 ~ PROCESSED BY: MSM
I OWNER-BUlLDEP.DECLARATION :=J
I hereby affirm under penalty of perjury that! am exempt from the Contrncti:'?,z License_ Law for the- folh;)wing reason (Sec. 7031.5 Business and '
Professiol'ls Code: any city or county which requires a permit to constr!..lct.a;~9r, improve.,demoiish_o~ re~ir any structL.:Ie, prier tqHs issuance, also
requires the ,applicant for such permit to file a signed statement thathe is I!qJilse~ pu.rsuant to_the provisions of the Contractor's License Law (Chapter
9}(c'Ommencing with Secti'On 7000 ofDivisi'On 3 of the Business and Piofesirtns Code) 'Or that he is exempt therefrom and the bBSis far the al1cge,d
cxelr.ption. Any violation of Section 7031.5 by any applicant far a permit su6.:cds the applicant to a civil penaity of not more than five h1mdred doll,,!rs
t~?)~s'owner 'Of Propert1:'or my ,employees wiih wa~es.asth~ir sole co:~jp,~satir:ln: will do the ~~rk, am the structuie is not int~ndedo-rcffered far
sale (Sec. 7044 Business arid Professicns"'Gode:, TheC()ntractor'3 Ucense{..;).w does net applvto an owpei of plOperty who builds or improves
thereon, and wtlO daes such work hir.-lseif 'Or hel's~lt 'Or trrough hi~ 'Or he:- ("1,^"'AI employee~, provided that such improvements aie n'O: intenoed 'Or
OffelGd fer sale. If, h'Owever, the building 'Or impruvement is said with cnp. yl..~1'" of o.")topletian, the awner-bulltier v'II11 have the burden of proving ttlat he
Old liot bUild or imp rave. for thepu rpos~ of sate).. . .. ~'1
rJ I, as the awner.af.the piOperty,-.arn exdusively contP3cti'ng .with iiC;;Jm><,Jjxll'l"~ctors to co.,strub~ the project (Sec., 7044 Business.alld Profecs!oi1s
Code: The Contractor's License La,.., 'does nc.t appt)' to an owner cf prope!t~;wl-,o i:';Ui!CS Of imp:-oves therl?on, af'ld who O')ntlacts for suCh projects with
~lc~tractor(s} iJcensed purs:.;;;.nt ~e Co ntractOl's- LIcense :....a~? . .1
L.....J I a 1ei<rr1~ under Sec. \ f~ ~ P:f';: fO!~hIY~SO. --1-----------
Dat," _ .t~(jr Owner: ~:. ' . _..~L
L, WORKER'S ,90MPENSATION pECLARAT)Oc \-~3- _.~ FLICENSEO C9;'!TRt<CTORS DECLARATION 1
I hereby affirm under penalty of pe~l]fY one ot the fOllOWing decl~ratlon3 ~ I I hereby afflrfTl under penalty cf P~rJury trlat I am
o I !:"18ve and WI:IIi~lntafl1 e certlt'cate of consent to self-Insure fOI \~'oi'k'3rr~~.~:I~enS(:jtion, I Ilcen:;;eo ur;;;Icr p:'OVlslOnsof cnaQi:er 9 (cofllmencll~g
as provided fer by Secl.'ai\ 3700 of the Labor Code, for the performance of t,l-' VJolk for which 'Nitt~ Sp...;ton 7000) of DivsioOl 3 of the BUSIness alid
. thi;; permIt is Issued. r . Prolesslons Gade.
o I have anc will maintain worker's compensation insurance. as requk::.:! bt Section 3700 of 4/5/2005 __w
the Labor Cade, for the oerfarmance 'Of the work for W~.lICh this permit i::,;';<>:.t1jd My worker's Date:
Compensation insurance carrier and poRCy' are:' .. . '.. I
Carrier: " PoliCY Numbp.r. . i, I ~~lJMBEK
'iThi": sec~i6n need not be-,Completed if the pelT~it is for one hu~dred dollars {$1;J4 .::,,1'". !~s.' TYPE
,.'. . _ : certi~ that in ~he pe. riarrnance aftl1e work far.whi~htht3 permit i~ i$s~~~.,tJ, ! S.ha. Ii ~ot , .1.
lay any person In any manner so as to become subject ta the wor,!:<er's-Y,Jmpensatlon laws
of Calif'Omia, and agree that if I shauld _beccme ~uhject tathe wa~fS CO:"lJlP~:r;eaiicn
provisi_~ns 'Of Sectian 3700 'Of the La'bOl".-eo~t~ha!f-{ert- .th ca . ~:y With\':'~"-,,,& p~ovisions.
Date: 4/5/2005 ~Huane .. ;'...
WARNING: FAiLURE TO SECURE' JORKER'S COMPENSATION CO\if'H~G~ IS'
UNLAWFUL, AND SHALL SUBJECT'AN EMPLOYER TO CHIMINAL PE~l.~(,T!ES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10C,OOO), iN ADL'ITION TO THE
.COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SE:CTiCNJ706 OF THE
LABOR CODE. INTEREST AND ATTORNEY'S FEES.
i CONSTRUCTION LENDING AGENCY __
I hereby affirm under penalty of. perjury that there is a construction I~nd ii1q :':;~f.';:cy for th~
perfarmance of the wark farwhiCh this permit is issued (See. 3097 Civ.C): '
Lendef's lnfannation:
i
CONTRACTOR INFORM'\TiON:
ARCHITECT/ENGINEER iNFORMATION:
Contractor
F:XPIRAT!ON PATE
Constrtlcian Tvpes:
VN" .
Fire Sprinklered?
NO
-!'-
-T(;effil~:tr,;i;t1h~ve rcad-i"hfs-applic.atio~,9- statett1dtthe abovein'tor-mation-;s"Correet. I
agree ta romply with all city 'Ordinances ar. d state laws relating ta bu llding censtruction, and
here.by al:Jtharize.representives 'Of is ci to en.ter upon the above mel1liane6 praperty far
insp 'f)0-S8
.":'.
Dat.: 4/5/2005
Fees paid far Permit:
Total: 107.68
Signature 'Of Applicant or Agent
The permitshall e>:pireby limitation and become.null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence or continue work. .
INSPECTION RECORD
.' INSPECTION . DATE INSPECTOR
Temporary Power Pole ~.. . .
Plumbing (DrainlWaste Pipe) "1
Electrical GrOl!nd Electrode/Ufer
SetbacklFormslTrenches (Footings)' I
DO nofinstall subfloor or pour. floor slab until the.
.following applicable ile.ms have been signeO: . .
Plumbing (Water Pipe.SprinklerValves) '. .
Mechanical (GrOl!ndwork)
Electrical (UndergrOl!nd Condu it)
Pre-slab (CompactionfMembrane.Reim. '.
Underpinning (Floor Joist/Girllers) I
DO not cover or conceal. the work below until the .
following applicable itelT)S have been signeO: .
1 st Floor Shear .
Firesprinkfer (Rough) .' . . .'
2nd Floor Shear .' . . .
Roof (shealhinQJOillPhragrnlFrame) /"
Masonry (RelnfJBond BearnlPre-GlOllt) " . ,( . -
Rough Plumbing (Top Out) . :x ./
Rough Mechanical 't
Rough ElectrICal. all) , : . <, / ./
Rough Electrical ItJ LI ~\ 'hl ".
Framing (Only after Plbg., Elec.. Mech:, a"nd Fire) (, blt.u)fU'
Insulation (SoUndlEne~gy) /' . .
po not tape or pla~teruritil the following ap~/icable n.
Items have been signed: '.' . '.' .' ' : , .
DryWall .' 1117,141 [;../17MJ) 1<---
Penetratiol1S(Fire'Rated) Electrical . ' ..
Penetrations (Fire Rated) Mechanical . .
Penetrations (Fire Rated) Plumbing
Interior Lath '. . . . .... ,
Exterior Lath . '. .'
.. . . .GENERAL ITEMS . .
Exterior Plaster (Brown Coat) .
T -Bar Electrical . . ...1.tl', I,,,, Of! .
T -Bar Mechanical . ~~.<,g' l"pjJ .
"
T -Bar Structu.ral . . ,,'2J. << ',.0-0
Sewer . .
Water Engineering Backflow ,
Water Service
FINAL INSPECTIONS Date' 'In
Electrical Final ,...-:
Plumbing Final
Mechanical Final
Gas.Test
Engineerin!ilGrading Final 765{j126
Fire Dept. Final 765-4040
Water. Engineering 765.5268
Sub List/Business License 7.65.519
Zoning 765-5139
Building Final ~aSllnspeClion'Only . t?
. . ..' fter Above Complete)
PARTIAL INSPECTI NS
Buildina Inspections .'
ctor
Mechanical Inspections
/
Plumbina Inspections
.<
Electrical Inspections
,,:.
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